According to the US Consumer Product Safety Commission, all-terrain vehicles (ATV's) accounted for an estimated 136,100 injuries and 767 deaths in 2005 alone. Moreover and the main reason we bring this to your attention, ATV injuries are associated with a high rate of spinal injuries, especially axial compression and burst-type fractures to the spinal vertebrae. Thus, while we sincerely want our patients to enjoy themselves and their ATV's, we want them to be acutely aware of the high incidence of ATV-related injuries as well as the seriousness of these types of injuries. Enjoy and please be safe!